Title Page

  • Site Name

  • Site ID

  • Engineer Name

  • Date Of Survey

Office

  • BOH PC - Model

  • BOH PC - Is it in a good condition?

  • Why not?

  • Supporting Pictures

  • BOH PC - Picture

  • BOH Screen - Model

  • BOH Screen - Is it in a good condition?

  • Why not?

  • Supporting Pictures

  • BOH PC Monitor - Picture

  • BOH Keyboard & Mouse - Wired or Wireless?

  • BOH Keyboard & Mouse - Are they in a good condition?

  • Why not?

  • Supporting Pictures

  • BOH Keyboard & Mouse - Picture

  • Picture of the whole Office Desk Area

  • BOH Printer - Model

  • BOH Printer - Is it in a good condition?

  • Why not?

  • Supporting Pictures

  • BOH Printer - Picture

  • Music Player - Model

  • Music Player - Is it in a good condition?

  • Why not?

  • Supporting Pictures

  • Music Player - Picture

Comms Cabinet

  • Comms Cabs - How many are on site?

  • Comms Cab - Picture

  • Comms Cab - Is it to standard? Clean/Tidy/ PC's & Routers on Shelves

  • Why not?

  • Supporting Pictures

  • Comms Cab - Is there anything in the Comms Cab that shouldn't be there?

  • What shouldn't be in there?

  • Supporting Pictures

  • Comms Cab 1 - Picture

  • Comms Cab 1 - Is it to standard? Clean/Tidy/ PC's & Routers on Shelves

  • Why not?

  • Supporting Pictures

  • Comms Cab 1 - Is there anything in the Comms Cab that shouldn't be there?

  • What shouldn't be in there?

  • Supporting Pictures

  • Comms Cab 2 - Picture

  • Comms Cab 2 - Is it to standard? Clean/Tidy/ PC's & Routers on Shelves

  • Why not?

  • Supporting Pictures

  • Comms Cab 2 - Is there anything in the Comms Cab that shouldn't be there?

  • What shouldn't be in there?

  • Supporting Pictures

  • Does the Comms Cabinet have a DLVR NUC?

  • Model

  • Is it labelled?

  • Is it working?

  • Why not?

  • Supporting Pictures

  • Picture

  • Does the Comms Cabinet have a KIOSK NUC?

  • Model

  • Is it labelled?

  • Is it working?

  • Why not?

  • Supporting Pictures

  • Picture

  • Does the Comms Cabinet have any other PC's in it?

  • What is the PC? (E.g. ECPS / Shuttle)

  • Model

  • Is it labelled?

  • Is it working?

  • Why not?

  • Supporting Pictures

  • Picture

QSR Screens

    Screens - Add Per Screen On Site
  • Name of Screen

  • Note Other Name

  • Input Method

  • Screen Mount

  • Does the screen have any issues?

  • What are the issues

  • Picture

QPM / ECPS

  • Does the site have a QPM or ECPS?

  • Is the QPM input device working?

  • Why not?

  • Picture of QPM Input Device

  • Is the HDMI Splitter working?

  • Why not?

  • Picture of HDMI Splitter

  • Is the MOH Slave Screen 1 Working?

  • Why not?

  • Picture of MOH Slave Screen 1

  • MOH Slave Screen 1 Mount

  • Is the BOH Slave Screen 2 working?

  • Why not?

  • Picture of BOH Slave Screen 2

  • BOH Slave Screen Mount

  • Is the ECPS PC Working?

  • Why not?

  • Picture of ECPS PC

  • Are the two Power Injectors working?

  • Why not?

  • Picture of the two Power Injectors

  • Is the VGA Splitter working?

  • Why not?

  • Picture of VGA Splitter

  • Is the MOH Slave Screen 1 working?

  • Why not?

  • Picture of MOH Slave Screen 1

  • Is the BOH Slave Screen 2 Working?

  • Why not?

  • Picture of BOH Slave Screen 2

  • Is the MOH Input Keyboard working?

  • Why not?

  • Picture of MOH Input Keyboard

  • Is the BOH Input Keyboard working?

  • Why not?

  • Picture of BOH Input Keyboard

Menu Boards

  • Are all of the Internal Menu Boards and Advertising Screens working?

  • What Screen isn't working?

  • Why is it not working?

  • Picture of Faulty Screen

  • Pictures of all Menu Boards and Advertising Screens

Drive Thru

  • Is the site a Drive Thru Store?

  • Does the site have a Drive Thru Timer?

  • Does the DTT Screen work

  • Why not?

  • Picture of DTT Screen

  • Does the site have a Summit Leader Board Screen?

  • Does the Summit Leader Board Screen working?

  • Why not?

  • Picture of Summit Leader Board Screen

  • Does the site have a Speaker Post?

  • Does the Speaker Post work

  • Why not?

  • Picture of Speaker Post

  • Does the site have an Order Confirmation Board?

  • Does the OCB work?

  • Why not?

  • Picture of OCB

  • Does the site have DT Menu Boards?

  • Do all the DT Menu Boards work?

  • Why don't they work?

  • Picture of faulty DT Menu Boards

  • Pictures of all DT Menu Boards

Tills

    Tills - Add Per Till On Site
  • Till Position

  • Specify position

  • Is the Till working?

  • Why Not?

  • Does the Till have a Scanner? (Put N/A for Delivery Till and DT Order Taker)

  • Does it work?

  • Why not?

  • Does the Till have a Printer? (Put N/A for Delivery Till and DT Order Taker)

  • Does it work?

  • Why not?

  • Does the Till have a PED? (Put N/A for Delivery Till and DT Order Taker)

  • Does it work?

  • Why not?

  • Does the Till have a Cash Drawer? (Put N/A for Delivery and DT Order Taker)

  • Does it work?

  • Why not?

  • Picture of Till and all Peripherals

Kiosks

    Kiosks - Add per Kiosk on Site
  • Is the Kiosk Working?

  • Why not?

  • Picture of Kiosk

Comments

  • Is there anything else that should be reported?

  • Affected Item - Add Per Item
  • What is the affected item?

  • What should be reported?

  • Supporting Pictures

  • Is the Survey Complete?

  • Engineer Name and Signature

  • Manager Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.